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PHI stands for "Protected Health Information" (Y = Yes, N = No)
Display Field Phi Field type Condition choices Field note Header
Allergies mh_allergies N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_al_age N text - - -
Additional Details: if yes for the above condition mh_al_details Y text - - -
Alzheimer Disease mh_alz N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_alz_age N text - - -
Additional Details: if yes for the above condition details_if_yes_for_th2_0f7 Y text - - -
Anemia/Low Blood mh_ane N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_ane_age N text - - -
Additional Details: if yes for the above condition mh_ane_details Y text - - -
Arthiritis mh_art N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_art_age N text - - -
Additional Details: if yes for the above condition mh_art_details Y text - - -
Asthma mh_ast N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_ast_age N text - - -
Additional Details: if yes for the above condition mh_ast_details Y text - - -
Cancer/Malignancy mh_can N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_can_age N text - - -
Additional Details: if yes for the above condition mh_can_details Y text - - -
Chronic bronchitis mh_bro N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset age_if_yes_for_the_ab2_c5b N text - - -
Additional Details: if yes for the above condition details_if_yes_for_th2_ef2 Y text - - -
Congestive heart mg_conh N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_conh_age N text - - -
Additional Details: if yes for the above condition mh_conh_details Y text - - -
Diabetes mh_dia N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_dia_age N text - - -
Additional Details: if yes for the above condition mh_dia_details Y text - - -
Emphysema mh_emp N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_emp_age N text - - -
Additional Details: if yes for the above condition mh_emp_details Y text - - -
Epilepsy/Seizures/Convulsions mh_epi N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_epi_age N text - - -
Additional Details: if yes for the above condition mh_epi_details Y text - - -
Goitre/Thyroid Disease mh_goi N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_goi_age N text - - -
Additional Details: if yes for the above condition mh_goi_details Y text - - -
Head injury mh_head N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_head_age N text - - -
Additional Details: if yes for the above condition mh_head_details Y text - - -
Heart attack/angina mh_hatt N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_hatt_age N text - - -
Additional Details: if yes for the above condition mh_hatt_details Y text - - -
High blood pressure mh_hbp N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_hbp_age N text - - -
Additional Details: if yes for the above condition mh_hbp_details Y text - - -
Liver condition mh_lc N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_lc_age N text - - -
Additional Details: if yes for the above condition mh_lc_details Y text - - -
Migrane headaches mh_mig N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_mig_age N text - - -
Additional Details: if yes for the above condition mh_mig_details Y text - - -
Osteoporosis/ brittle bones mh_ost N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_ost_age N text - - -
Additional Details: if yes for the above condition mh_ost_details Y text - - -
Overweight mh_ove N radio 1, Yes | 0, No | 9, Unknown - -
Most you've ever weighed mh_weight_highest N text - in pounds -
In females who were pregnant currently or before: Most you've ever weighed mh_weight_fem_preg N text - - -
Has a doctor been concerned about your weight ? dg_overweight_notes N yesno - - -
Age of onset mh_ove_age N text - - -
Additional Details: if yes for the above condition mh_ove_details Y text - - -
Skin Condition mh_sc N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_sc_age N text - - -
Additional Details: if yes for the above condition mh_sc_details Y text - - -
Stroke mh_st N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_st_age N text - - -
Additional Details: if yes for the above condition mh_st_details Y text - - -
Ulcer mh_ulc N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_ulc_age N text - - -
Additional Details: if yes for the above condition mh_ulc_details Y text - - -
Other neurological problems mh_neu N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_neu_age N text - - -
Additional Details: if yes for the above condition mh_neu_details Y text - - -
Fibromyalgia mh_fib N radio 1, Yes | 0, No | 9, Unknown - -
Age of onset mh_fib_age N text - - -
Additional Details: if yes for the above condition mh_fib_details Y text - - -
__________________________________________________________________________________________ Additonal Details for medical conditions mh_section_1_end Y notes - - -
2. If yes to any: How do(es) this condition(s) affect your daily life? mh_quest2 N descriptive - - -
2a. Frequent Symptoms mh_freqsymp N radio 1, Yes | 0, No | 9, Unknown - -
2b. Sees doctor regularly mh_docvisits N radio 1, Yes | 0, No | 9, Unknown - -
2c. Hospitalized or takes medication regularly mh_medi N radio 1, Yes | 0, No | 9, Unknown - -
2d. Occupational Disability(Able to work at all?) mh_occ_dis N radio 1, Yes | 0, No | 9, Unknown - -
Additional Details mh_2_additional_details Y notes - - -
3. Do you have any other medical problem or condition we haven't discussed mh_mp_disc N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify mh_mp_disc_yes Y text - - -
4a. Height mh_height N text - inches -
4b. Weight mh_weight N text - lbs -
Have you ever had any of the following tests: mh_quest5 N descriptive - - -
5a. EEG/"Brain Wave" tests mh_eeg N radio 1, Yes | 0, No | 9, Unknown - -
5a.2. Years of most recent test for EEG/"Brain Wave" test mh_eeg_year N text - - -
5b. Head CAT scan mh_cat N radio 1, Yes | 0, No | 9, Unknown - -
5b.2. Years of most recent test for CAT scan test mh_cat_year N text - - -
5c. Head MRI mh_mri N radio 1, Yes | 0, No | 9, Unknown - -
5c.2. Years of most recent test for Head MRI test mh_mri_year N text - - -
Notes: mh_5_notes Y notes - - -
6. Are you taking any medications regularly(includes aspirin and oral contraceptives) mh_quest6 N radio 1, Yes | 0, No | 9, Unknown - -
6.a. Total count of medications mh_medcount N text - - -
Medication 1 mh_md1 N text - - -
Dosage (Medication 1) per day mh_dos1 N text - - -
Duration of Dosage (Medication 1) mh_dos1_weeks N text - in weeks -
Medication 2 mh_md2 N text - - -
Dosage (Medication 2) per day mh_dos2 N text - - -
Duration of Dosage (Medication 2) mh_dos2_weeks N text - in weeks -
Medication 3 mh_md3 N text - - -
Dosage (Medication 3) per day mh_dos3 N text - - -
Duration of Dosage (Medication 3) mh_dos3_weeks N text - in weeks -
Medication 4 mh_md4 N text - - -
Dosage (Medication 4) per day mh_dos4 N text - - -
Duration of Dosage (Medication 4) mh_dos4_weeks N text - in weeks -
Medication 5 mh_md5 N text - - -
Dosage (Medication 5 ) per day mh_dos5 N text - - -
Duration of Dosage (Medication 5) mh_dos5_weeks N text - in weeks -
Medication 6 mh_md6 N text - - -
Dosage (Medication 6) per day mh_dos6 N text - - -
Duration of Dosage (Medication 6) mh_dos6_weeks N text - in weeks -
7. Was your own birth or early development abnormal in any way IF NO, SKIP TO Q8. mh_birth_dev N radio 1, Yes | 0, No | 9, Unknown - -
7a. Were there any problems with your mother's health while she was pregnant with you? mh_mot_prob N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify mh_motprob_spec Y notes - - -
7b. Was your development abnormal in any way, for example did you walk or talk later than other children? mh_abdev N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify mh_abdev_spec Y notes - - -
8. Have you ever been pregnant? IF NO, SKIP TO Q9 mh_preg N radio 1, Yes | 0, No | 9, Unknown - -
8.a. How many times have you been pregnant including miscarriages, abortions and still births? mh_8a N text - - -
8.i. Number of Miscarriages mh_mscar N text - - -
8.ii. Number of Abortions mh_abort N text - - -
8.iii. Number of Still Births mh_still N text - - -
8b. Number of Live Births mh_live N text - - -
8c. Have you ever had any severe emotional problems during pregnancy or within a month of childbirth ? mh_preg_emo N radio 0, No | 1, Yes - during pregnancy only | 2, Yes - during post natal only | 3, Yes - both during pregnancy and post natal | 9, Unknown - -
If yes: Specify mh_preg_emo_spec Y text - - -
9. Have you ever noticed regular mood changes in the premenstrual or menstrual period? mh_menst N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify mh_menst_spec Y text - - -
10. Have you gone through menopause? mh_meno N radio 1, Yes | 0, No | 9, Unknown - -
10a. If yes: Have you ever had any severe emotional problems associated with menopause? mh_meno2 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Specify mh_meno2_spec Y text - - -
Notes medical_historycsv_notes Y notes - Data migrated from Access -

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